Table 4.

Intervention Compared With Usual Care Differences in Quality of Care

Variable	Total N of Patients	Patients % (n)		Relative Risk (95% CI)	p-Value
		Intervention	Usual Care
4 or more specialty mental health visits in prior 6 months
6 Months	183	79.1 (72)	29.3 (27)	2.70 (1.73 – 4.20)	< 0.001
12 Months	177	74.9 (67)	30.8 (28)	2.53 (1.63 – 3.94)	< 0.001
Any antidepressant medication					0.123*
Baseline	205	46.1 (47)	49.5 (51)	0.93 (0.63 – 1.38)	0.722
6 Months	183	61.5 (56)	47.8 (44)	1.29 (0.87 – 1.91)	0.211
12 Months	177	61.6 (53)	47.3 (43)	1.30 (0.87 – 1.95)	0.196
Two or more simultaneous antidepressant medications					0.013*
Baseline	199	3.0 (3)	7.1 (7)	0.42 (0.11 – 1.61)	0.204
6 Months	183	24.2 (22)	9.8 (9)	2.47 (1.14 – 5.37)	0.022
12 Months	177	22.1 (19)	7.7 (7)	2.87 (1.21 – 6.83)	0.017
Any antidepressant for ≥ 25 days in the past month					0.126*
Baseline	176	23.1 (21)	18.8 (16)	1.23 (0.64 – 2.35)	0.539
6 Months	182	56.0 (51)	31.9 (29)	1.76 (1.12 – 2.77)	0.015
12 Months	177	52.3 (45)	33.0 (30)	1.59 (1.01 – 2.52)	0.050
Any antidepressant for 3 of the past 6 months at an adequate dosage†					0.021*
Baseline	177	14.3 (13)	16.3 (14)	0.88 (0.41 – 1.87)	0.735
6 Months	183	51.6 (47)	31.5 (29)	1.64 (1.03 – 2.60)	0.037
12 Months	168	57.1 (48)	33.3 (28)	1.71 (1.08 – 2.73)	0.023

^*Group-by-time interaction: baseline to 12 months

^†Adequate dosage is the recommended starting dosage on package insert (eg, 20 mg of fluoxetine).